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Individual

MRS. LISA MARIE BALDINELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
15034 NORTH PARKVIEW PLACE, SURPRISE, AZ 85379
(623) 876-7808
Mailing address
15802 NORTH PARKVIEW PLACE, SURPRISE, AZ 85374
(623) 876-7022

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6053
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP6053
SPEECH LANGUAGE PATHOLOGY LICENSE NUMBER
AZ
Enumeration date
01/20/2009
Last updated
01/20/2009
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